The nurse is caring for a patient who is in skeletal traction. To prevent the complication of skin breakdown in a patient with skeletal traction, what preventive measures would the nurse implement?
A) Do not remove the crusting around the pin insertion site.
B) Encourage the patient to push up with the elbows when repositioning.
C) Encourage the patient to perform ankle and calf muscle exercises once a shift.
D) Assess the pin insertion site every 8 hours.
Ans: D
Feedback: The pin insertion site should be assessed every 8 hours for inflammation and infection. The patient should be encouraged to use the overhead trapeze to shift weight for repositioning. Ankle and calf exercises should be done 10 times an hour while awake.
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A new nurse is caring for a woman in the transition phase of labor. The nurse attempts to engage the woman in conversation and chats even when the woman doesn't respond to these attempts. What action by the nurse's preceptor is most appropriate?
A. Direct the nurse to attempt conversation with the support person. B. Encourage the nurse to keep attempting to engage the woman in conversation. C. Gently ask the nurse to refrain from unnecessary conversation. D. Tell the nurse not to take the woman's silence as a personal rejection.
Regression can occur in the four stages of team development. Which of the following is a possible reason for this?
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PHNs across the United States implement similar types of interventions to improve the health of various groups. Which of the following explains why a common set of interventions is used?
a. Describe the proper order of implementa-tion b. Emphasize surveillance as the main focus of public health practice c. Guide practice and generate agency pro-tocols d. Improve the health status of communities, systems, individuals, and families
The nurse who advocates for a health-oriented approach to clients is likely to encourage the development of which outcome?
a. The client will maintain compliance in medication administration. b. The client will adjust to the limitations of chronic illness. c. The client will keep in mind his limitations as a barrier to achievement of goals. d. The client will focus on continued progress and improvements in planning goals.